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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. Sig' e <br /> • Print your name and address on the reverse X`/ 0 Agent <br /> so that we can return the card to you. 0 Addressee <br /> 1* <br /> B. c='vpd by(Printed a e) C. Date of Delivery <br /> • Attach this card to the back of the mailpiece, �,r� br <br /> or on the front if space permits. ((JAM o(,N/ <br /> 1. Article Addressed to: delivery address different from item 1? 0 Yes <br /> `� YES,enter delivery address below: 0 No <br /> James Moore pg., ' <br /> City of Walsenburg 4 <br /> 525 S Albert OA '2 5.4 <br /> �2 p1/41‘0"Walsenburg, CO 81089 0 f fak-C�PF-�E� <br /> "use®,'G p,N7 <br /> -1' SP <br /> 11J 3. Service Type 0 Priority Mail Express® <br /> 11 111111 IIII III I III'I 11111111111111 11°'`SII 0 Adult Signature 0 Registered Man, <br /> 0 Adult Si nat r Delivery <br /> Restricted Delivery 0Registered <br /> e ed Mail Restrictet <br /> 0 <br /> 9590 9402 8259 3094 0403 18 0 Certified Mail Restricted Delivery 0 Signature CoflfirmatloflTM <br /> 0 Collect on Delivery 0 Signature Confirmation <br /> 2. A...,i„Al,,,,,h,,,rnnncr r from coruiro lahall 0 Collect on Delivery Restricted Delivery Restricted Delivery <br /> 0 Insured Mail <br /> 7019 2 2 80001 825 4 8791 9 Insured Mail Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />